Orthonotes
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Patellar Resurfacing in TKA — Controversies

Controversial: to resurface or not during TKA. Resurfacing: reduces anterior knee pain, avoids secondary resurfacing procedures. Non-resurfacing: avoids patellar complications (fracture, maltracking, loosening). Selective resurfacing based on patellar status increasingly practiced. Registry data show mixed outcomes; no universal consensus.